These data indicate that MWA, anxiety disorders, and major depression can be components of a distinct clinical syndrome associated with allelic variations within the DRD2 gene. Clinical recognition of this genetically based syndrome has significant diagnostic and therapeutic implications.
This study utilized a control group design to evaluate the effectiveness of group treatment of erectile dysfunction in men without partners. Twenty-one men with secondary erectile dysfunction were randomly assigned to one of two men's groups with different cotherapy teams or to a waiting-list control condition. Results indicated that while the two men's groups did not differ on any clinical-outcome measures, each men's group improved significantly more than the waiting-list clients on a variety of measures concerning sexual attitudes and behaviors related to erectile dysfunction. Furthermore, most of the treatment gains for men's group participants were maintained at six-week and six-month follow-up evaluations. However, the men's group and waiting-list participants did not differ significantly in the reported frequency of erection difficulties following treatment. In comparing the present findings with those of previous studies of men's group treatment, it is hypothesized that the absence of significant change in the frequency of erection difficulties in the present study may have been attributable to the older age of our clients or to the relative lack of emphasis on dating-skills training in this treatment format. This study illustrates the importance of including some form of no-treatment control condition in the evaluation of new treatments for sexual dysfunction.
Carers of individuals with eating disorders (EDs) report high levels of burden and distress and describe a number of unmet needs. As a result, a number of interventions have been designed to support carers, including the "Maudsley eating disorder collaborative care skills workshops," which comprise six 2-hr workshops delivered over 3 months for parents and carers of people with EDs. The current study aimed to test a proof-of-concept that this workshop could be effectively delivered in 1 day. An additional aim was to assess whether the workshop had direct effects on carer skills. A nonexperimental repeated measures research design was employed, giving measures before and after a 1-day workshop. Results suggested significant increases in carer self-efficacy and carer skills, with moderate to large effect sizes. Qualitative analyses supported these results whilst also generating ideas to improve the 1-day workshop.
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